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thin fit prediabetic - is there hope?

Also one thing I noticed with the libre sensor is that variation across the day is massive, sometimes without obvious cause.

If you take a 'fasting glucose' value in the morning this may be artificially high (search for Dawn Effect). Looking at the data this week I am over 6 at 06:30, despite not eating for approx 11 hours and being < 6 from 22:00 - 06:00). Average for the whole 24 hours is still only 6-6.2.
 
One of the dancers I play for is a tiny person, and I was quite shocked when I saw her when we first started to practice again. She was looking unwell, but was concerned about gaining weight and her general health was deteriorating. Her mum is in the side too, and was very concerned - she was gaining weight as her daughter lost it, and the mum is diabetic. I advised low carb but emphasised that it means increasing the protein and fat - which they were very reluctant to do as 'carbs are so healthy'.
As we meet every week I could see the changes - mum has lost weight and the daughter is not having problems, and has far more energy now as well as looking like a young woman.
 
 
I read your answer out to my husband as it resonates with me. My Hba1c is 5.6, home finger prick tests fasting are 6.4 but my post prandial readings are so high if I don’t restrict carbs to about 60 a day and eat choosing carefully. I’d never eat an apple whole now on its own. 8.8 at two hours. And this is with taking metformin. But doctor thinks I am not diabetic. The lab tested my fasting glucose at 8.8. But she used the hba1c as the second test. Refused OGTT. Since the hba1c is alright I am not diabetic. Yes, as long as I don’t look at peas, fruit, lentils etc and walk walk walk.
If I take two 500mg metformin on 60g carb a day my fasting is 6.4
If I take 3 metformin it’s 5.8.
I am slim and fit . BMI 19. Body fat 25 percent.
I think I AM diabetic .
 
I was just told I am prediabetic (6.0 fasting). My BG has hovered between 5.5 and 5.8 for over a decade, but it just tipped the scale and my doctors are drawing attention to it. I have a relatively healthy diet, but I have never consciously cut carbs before. I work out nearly every day, alternating between weights, cardio and anaerobic training. My BMI is almost 24, but I have a gymnast frame - small hips, wide shoulders, and a fair amount of muscle. No (visible) body fat, but who knows what lurks around my organs! I would like to push my BG a little lower while maintaining my muscle mass and energy. I also tend to run toward anemia and have low vitamin D. I am wondering if improving those energy pathways would help reduce my BG. Anyone have any experience there? General advice is also welcome. Thanks!
 
My vitamin D levels are fine and I take magnesium daily for sleeping and regularity of digestion. I also took berberine a couple of months. My bmi is 19.5. I exercise. I eat low carbs. I think EVERYTHING helps but there is no magic bullet. Except for eating low carb high protein fat and fibre.
 
"Everything helps but there is no magic bullet." That sounds like good advice.
 
@Ansible - no need to bring magic into it. If you see yourself as having hyperglycemia in its early stages, it ain't magic to lower the amount of glucose you add to your body, but to lower it - it's basically common sense. This is indeed, lowering your carbohydrate intake, and investing in a blood sugar meter, if you want, and seeing which foods you are all systems go with, and what you need to lessen, or drop.

A nice easy way to look at carbs is - it's the dose that is toxic, not carbs itself. What level is your safety zone is for you to find out, and act on it, and you will be away laughing. No magic. Just nutritional science.
 
Thanks. I did purchase a blood sugar meter to start testing my reactions to various foods.
 
The usual advice for T2 who don't need to lose weight is to add more fat - oily dressings on salad, butter on your veg, double cream with berries, cream in coffee, cheeses, etc. This with enough protein and green veg and a low amount of carbs from other sources should be enough?
 
Sensible, of course. I once dropped basically all body fat (for an acting role) in about 5 months. I kept most of my muscle mass for the shoot, but I don't know how much longer I could have gone without losing that as well. I probably needed to consume more fat even than I did.
 
Do lentils raise your blood glucose???
 
Am very thin now and weigh 46kg with a height of 156cm(5ft 1"). I was slightly overweight (55kgto 57kg with lots of belly fat) 4years ago(2017,2018,2019)
Am borderline too with FBS between 70mg/dl to 96mg/dl(usually it is 83mg/dl, 84mg/dl 86mg/dl).
My hba1c is 5.8%(jan 28th, 2023). Between Nov 2021 to Dec 2022 it was 5.4%, 5.4%,5.1%,5.4%, 5.3%,5.2%, 5.3%,5.4% and on jan 28th 5.8%.
I do low carbs like 80g to 100g per day. Can't do keto. I do only 12:12 Intermittent fasting, running, time restricted eating to reduce my insulin resistance.
my fear is my beta cell will burn out due to insulin resistance.
 
Fruits are not good. They have lots of sugar in them. I too have eliminated them and eat only low GI fruits like straw berry, rasp berries, blue berries, star fruit etc
 
Fruits have lots of sugar in them. They can hugely raise blood sugars. Meusli also has lots of sugar in it(raisins etc). Eating eggs for break fast would be a better choice.
Wholemeal bread also is a bad choice as they turn into sugars quickly. Can have bacon or eggs instead which won't spike your sugars.
 
I am prediabetic with A1C of 6 and my fasting numbers are always around 6.4 but with no medication. Does metformin help lower fasting numbers??? What are your pre meal levels ?
 
I am prediabetic with A1C of 6 and my fasting numbers are always around 6.4 but with no medication. Does metformin help lower fasting numbers??? What are yourAm pre meal levels ?
Am pre-diabetic too. Doing low carbs. Can't eat too much fat due to gall stones (2013)and high ldl.
I exercise and eat low carbs. My weight is too low. Trying to do strength training
 
I am off metformin for two weeks in order to do a glucose tolerance test. HBA1C 5.9.
Now fasting level is 6.4
Post meal two hours 9.8
Sometimes 12
Once 4.9
I eat low carb . Can’t eat more than 15g carb even on metformin ( in a meal)
 
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